| Regimental number | 5154 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Pialba, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs M Neilsen, Nickenbah, Pialba, Queensland |
| Enlistment date | 16 October 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star of Victoria on 31 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
